Healthcare Provider Details

I. General information

NPI: 1710576046
Provider Name (Legal Business Name): TVM BIO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2021
Last Update Date: 12/22/2023
Certification Date: 12/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 N ROCKY POINT DR W STE 150
TAMPA FL
33607-7200
US

IV. Provider business mailing address

3030 N ROCKY POINT DR W STE 150
TAMPA FL
33607-7200
US

V. Phone/Fax

Practice location:
  • Phone: 844-488-6246
  • Fax:
Mailing address:
  • Phone: 844-488-6246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: OM RAJ MANANSINGH
Title or Position: PRESIDENT
Credential:
Phone: 844-488-6246